CAROLINA ULLOA (OTR/L) – Occupational Therapist, NPI 1164239380

CAROLINA ULLOA (OTR/L) is a healthcare provider. based in Virginia beach, Virginia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 0119010744 (VA). The NPI Number for CAROLINA ULLOA (OTR/L) is 1164239380

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINA ULLOA (OTR/L)
NPI
1164239380
Phone
(252) 933-6444
Address
910 DEVASTATOR RUN
Enumeration Date
11 December 2024
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885312204
Graduation Year
2024 (2 years ago)
PAC ID
3375063787
Group Practice PAC ID
2860649654
Professional Enrollment ID
I20250227003283
Address ID
VA234627905VI4560XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

528 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for CAROLINA ULLOA (OTR/L)

  • 910 DEVASTATOR RUN

    VIRGINIA BEACH, VA 234531524

    Phone: (252) 933-6444

    Type: Mailing

  • 1508 VOLVO PKWY

    CHESAPEAKE, VA 233208293

    Phone: (757) 785-4578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250227003283IOccupational Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860649654View full group profile
NameSpecialtyState
-GA
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeVA
-FL
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeIL
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

How is CAROLINA ULLOA (OTR/L) identified in CMS data?
CMS-hosted NPPES data lists CAROLINA ULLOA (OTR/L) with NPI 1164239380.
Is CAROLINA ULLOA (OTR/L) still practicing?
CAROLINA ULLOA (OTR/L) is currently listed as active in the public NPI registry.
What is CAROLINA ULLOA (OTR/L) best known for clinically?
Directory data describes CAROLINA ULLOA (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is CAROLINA ULLOA (OTR/L) based?
CAROLINA ULLOA (OTR/L) is tied to Virginia Beach, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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